KELLY THOMAS (FNP-C) – Family Nurse Practitioner, NPI 1710395298
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for KELLY THOMAS (FNP-C)
2280 AMERICAN LEGION BLVD
MOUNTAIN HOME, ID 836473142
Phone: (208) 587-3988
Type: Mailing
3520 E LOUISE DR
MERIDIAN, ID 836426304
Phone: (208) 888-0909
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2024-09-28 • Largest payer in this snapshot: Astellas Pharma US Inc ($51).
Total Amount
$146
General + Research + Ownership
Payments
7
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $51 |
| MAYNE PHARMA COMMERCIAL LLC | $36 |
| ABBVIE INC. | $24 |
| Organon LLC | $20 |
| CooperSurgical, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141212002298 | I | Nurse Practitioner | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83647)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| - | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Nurse Practitioner | ID |
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